| NPI | 1184049892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18569) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089702) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-6376T) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-04-16 |